| Michelle Kistner, LPCC-S | |
|
22251 State Route 2, Archbold, OH 43502-9452 | |
| (419) 445-1552 | |
| (419) 445-1401 |
| Full Name | Michelle Kistner |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 20 Years |
| Location | 22251 State Route 2, Archbold, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750572863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C0500956 (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | E.0500956-SUPV (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shalom Ministries | 7911376033 | 7 |
| Entity Name | Shalom Ministries |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366573552 PECOS PAC ID: 7911376033 Enrollment ID: O20221213001281 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Kistner, LPCC-S 1042 Highland Ave, Napoleon, OH 43545-1104 Ph: (419) 438-8793 | Michelle Kistner, LPCC-S 22251 State Route 2, Archbold, OH 43502-9452 Ph: (419) 445-1552 |
Mrs. Beth A. Reichert, L.P.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: T793 State Route 66, Archbold, OH 43502 Phone: 419-267-5528 Fax: 419-267-5530 | |
Lorenzo Mendez, LPC Counselor Medicare: Medicare Enrolled Practice Location: 22251 State Route 2, Archbold, OH 43502 Phone: 419-445-1552 Fax: 419-445-1401 | |
Mrs. Paula Lynn Rettig, LPC LCDCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 22897 Us-20 Alt, Archbold, OH 43502 Phone: 419-445-1980 | |
Mrs. Donna Marie Wyse, LSW, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22251 State Route 2, Archbold, OH 43502 Phone: 419-445-1552 Fax: 419-445-1401 | |
Taylor Comer, LISW Counselor Medicare: May Accept Medicare Assignments Practice Location: 22251 State Route 2, Archbold, OH 43502 Phone: 419-445-1552 Fax: 419-445-1401 | |
Brittany Lyn Mcclarren, BA, MA, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 22251 State Route 2, Archbold, OH 43502 Phone: 419-445-1552 Fax: 419-445-1401 | |
Claudia St. John, LISW Counselor Medicare: Medicare Enrolled Practice Location: 22251 State Route 2, Archbold, OH 43502 Phone: 419-445-1552 Fax: 419-445-1401 |